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Tobacco addiction leads to periods of withdrawal shortly after having a cigarette, whereby the person who smokes experiences psychological symptoms such as low mood, anxiety, poor concentration and irritability (Benowitz, 2010)

The toxic chemicals in chewing tobacco are what make it such a hazardous product

Tobacco-specific nitrosamines are found in chewing tobacco

However, majority of the existing literature implicate the use of ST as a risk factor leading to adverse outcomes in pregnancy and reproduction, with long-term health consequences not just for the mother but also for the offspring

however, this notion is not evidence-based and lacks credibility. This belief is attributed to limited evidence/studies due to the recent availability of these products in the market, and the fact that the effects of these products on pregnancy and fetal development/offspring health are not well characterized